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In his book Politics of liberation. Volume ii: Architecture, Enrique Dussel undertakes the analysis of bourgeois political philosophy to deconstruct the current order that established the colonizing modernity, and includes alternatives such as standard Marxism, real socialism and left anarchism. In this sense, the present article traces the disquisition of the Latin American liberation teacher along the axis of the critique enunciated and through the main categories that he develops in his architecture, namely: 1) at the levels of strategic action; 2) at the political-institutional level; 3) at the level of the fundamental implicit principles. On the other hand, a conceptual equivocation is suggested in which Dussel would incur about left anarchism --a serious mistake in the case of the political theory that, together with Marxism, has undertaken the revolutionary struggle against the bourgeois order--. This finger-pointing should not be confused with an enterprise antithetical to the Dusselian one because it is recognized as a dissident expression but committed to the liberationist process. [ABSTRACT FROM AUTHOR]

Severe hyperkalaemia is one of the complications of the non-traumatic rhabdomyolysis, which have been related to drug abuse, alcohol, etc. We report on a case of bilateral tibial compartment syndrome, severe hyperkalaemia and rhabdomyolysis after drug abuse. A 35-year-old male intravenous drug user was admitted to the emergency department after being found unconscious in his cell of the prison. Physical examination at emergency department revealed no abnormalities except constricted pupils. Two hours after admission a wide QRS was observed in the electrocardiography and he developed asystole. Cardiopulmonary resuscitation was performed and transcutaneous pacing was applied at the beginning of cardiac arrest (150 mAmp and stimulation frequency 80 beats/min). At the moment of cardiac arrest, laboratory test showed potassium 9.2 mmol/l. Return of spontaneous circulation occurred in 21 min, and he was admitted to the Intensive Care Unit. Thirty-six hours after admission a compartment syndrome of both lower legs was suspected because of oedema with peripheral pulses. Rhabdomyolysis has been reported after drug abuse. There is severe hyperkalaemia which should be identified and treated. A more rare complication of rhabdomyolysis is the compartment syndrome, a surgical emergency, which requires immediate fasciotomy to prevent serious complications. [Copyright &y& Elsevier]

This paper describes the development of electrochemical processes for the oxidative degradation of nitroaromatic compounds, including 2-nitrotoluene, 2-nitroaniline and 4-nitroaniline, in acid wastewaters. The electrolysis process results in the formation of a dark solution in which the concentration of nitroaromatics had been reduced to much lower levels and COD removal efficiencies reached 50%. It was found that the best electrolysis conditions were 96% acid strength, 1000 A m-2 current density and ambient temperature. In addition, electrochemical degradations were always more effective when substituents are in the para-position and lead to significant electrophilic character. A black powdery product was isolated from the dark solution; this resulted from the anodic oxidation of amines initially produced at the cathode. The black product was further destroyed by anodic oxidation during prolonged electrolysis. [ABSTRACT FROM AUTHOR]

Objective: To explore whether children and adolescents with attention deficit/hyperactivity disorder (ADHD) have altered the functional connectivity between the executive control network and the default mode network., Methods: Exploratory study of a diagnostic test, prospective, case and control design. A total of 56 participants were recruited consecutively (29 inattentive or combined ADHD subtype and 27 controls) between 7 and 16 years old, male, right dominance. DSM-5 was applied as reference test and a battery of neuropsychological tests to confirm the diagnosis and assess comorbidities. Resting state functional magnetic resonance imaging was performed as an index test. The application and evaluation of the tests was blind. The brain regions were chosen a priori and the region of interest technique was used. The functional connectivity of the anterior cingulate cortex (ACC) was evaluated with: the precuneus (P), the posterior cingulate cortex (PCC) and the dorsomedial prefrontal cortex (DMPC)., Results: The functional connectivity in each of the associations evaluated in the patients with ADHD compared with the controls were: P_D=0.41 vs 0.44; CCP_D=0.43 vs 0.53; CPDM_D=0.75 vs. 0.79; P_I=0.40 vs 0.41; CCP_I=0.48 vs 0.53; CPDM_I=0.76 vs. 0.72). D: right side I: left side. Value of p> 0.05., Conclusion: Cerebral functional connectivity at rest is lower in ADHD patients when compared with healthy controls, however, the difference was not statistically significant., (Copyright © 2019 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.)

Introduction: The aim of this work is to know the proportion of inadequate urgent admissions in a general hospital., Material and Methods: A retrospective and descriptive study of patients admitted during 1,999 was performed. The Appropriatness Evaluation Protocol (AEP) was used in order to evaluate the appropriatness of the admissions., Results: Eighteen admissions (4.5%) were inadecuated. There was a higher proportion of inappropriate admission (IA) when the physician responsible of the admission was a medical specialist (internal medicine, hematology or nephrology): odds ratio 5.3 in opposite to emergency physicians (p < 0.03)., Conclusions: There was a low proportion of inadequate admissions (4.5%) and the risk of inappropriatness of the admission was major when it was ordered by a medical specialist.

171 cases consecutively seen in a hospital emergency service were prospectively evaluated. Several data were recorded to assess the type of care given and the need for attention in an institution with the technical resources of a hospital. These data were evaluated considering whether the user had moved from another town to receive attention and whether he had been referred by a physician or not. There were definite differences in the behavior of the user from the town where the hospital is located and the remaining users. These differences were not attributable to a different performance or evaluation from the primary care services of the several towns involved. It was concluded that, at the present time, the use of the emergency service of our hospital is significantly influenced by the decision of the user to consult the service. Factors other than the severity of the disease influence this decision.